Health Reform 2.0: What to Expect in Round Two

  • The intersections of cost containment pressures, competition from new entrants, clinical innovation, politics and the Affordable Care Act’s implementation through 2020: how will each sector respond, and what factors will determine winners and losers

  • The status of the ACA’s implementation

  • Two catalysts for disruptive change: employers seeking value and consumers forced to engage directly

  • Speed traps for providers—physicians, hospitals, long term care providers: fraud and adherence to evidence-based medicine; business relationship transparency

  • Realities for health insurers: new customers, consolidation, scrutiny, diversification

Megatrends impacting the US Health Care Industry

  • Health and Entitlement Reforms (Regulatory)

  • Clinical Innovations that Disrupt Traditional Modes of Care

  • Data-driven health care: the convergence of financial and clinical data

  • Employer activism: the relentless pursuit of value and exit from ESI

  • Plan Growth and Consolidation: new customers, new realities

  • Consumerism: the buck stops at home

  • New Competitors: Taking Advantage of the Industry’s Disruption

Consumerism in Health Care: Is the Industry Ready?

  • Expenditures

  • Attitudes and Beliefs

  • Expectations and Trade-Offs

  • Opportunities

Industry Restructuring: ‘Go Big or Get Out’

  • Physician-Hospital Alignment

  • Acute-Long-Term Care Integration

  • Plan-Plan Consolidation

  • Plan-Hospital Strategic Partnerships

  • Emergent Niche Sectors

  • OWAs (Other Weird Arrangements)

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